Percutaneous closure of ascending aortic pseudoaneurysm using Amplatzer septal occluder device: The first clinical case report and literature review

Abstract

We report the first case of the use of an Amplatzer septal occluder device to close a large ascending aortic pseudoaneurysm. The patient had a complex cardiac history with redo coronary artery bypass graft surgery, severe left ventricular dysfunction, and end-stage renal disease requiring hemodialysis. The procedure was successfully performed under fluoroscopic and 2D/3D transthoracic echocardiographic guidance. Six-week follow-up with both transthoracic echocardiography and MRI showed the device was in proper position with complete closure of the pseudoaneurysm.

Endovascular repair of a type B aortic dissection with a ventricular septal defect occluder

“…5 The versatility of this device has been demonstrated in publications of its application in arteriovenous fistula, perianastomotic leak, pseudoaneurysm, and re-entry tear of TB-AD. [6][7][8][9] In the present report, we describe one case of TB-AD treated by sealing the proximal entry tear with a VSD occluder, which is, to our knowledge, the first clinical case.…”

Recurrent aortic root pseudoaneurysm after transcatheter occlusion-A word of caution

“…Endovascular occlusion devices have been used to treat pseudoaneurysms when conventional surgical repair is deemed to be high‐risk and stent graft implantation is anatomically inappropriate . However, there are now several reports describing recurrent pseudoaneurysms and cardiac perforations following the insertions of these devices .…”

Surgical exclusion of postsurgical pseudoaneurysm of the ascending aorta

“…[3] Transcatheter exclusion is an alternative approach to surgery and is considered safer by some. [4567] Notwithstanding the approach, timely exclusion is the key. The goal is to prevent hemodynamic stress in the form of aortic pressure and flow transmission to the vulnerable sac.…”